1 reviews | Active since Nov 2016

02 Nov 2016, 11:50

Bypassing authorization processes

<p>On the July the 17th I went to the hospital for a knee injury. The casualty staff checked my medical aid and advised that there will not be any upfront payments or claim rejections on my medical aid plan. I was given a knee brace and crutches, did xrays and a knees scan on the 18th of July. Then to my surprise after all this was done I am now getting sms's from Dr SK Matseke Memorial Hospital Account staff, Karabo and Tessa from xrays department informing me that all my claims were rejected by Discover and I owe the hospital.</p> <p> </p> <p>I then called Discovery they informed me that the hospital never called them to check if my medical aid plan will approve my claims. the hospital was wrong by not calling the Discover medical aid for authorization, now it’s the patients who must suffer medical bills due lack of *********** medical staff. I refuse to pay for something I was never made aware off, due to Lesedi staff bypassing processes. </p> <p> </p> <p>Someone internally should be held liable for not doing their job. I want this to be brought to the HOD attension</p>

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